The Free Press Journal

New injections to prevent heart attacks Studies said that it can also reduce the risk of dying from lung cancer

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Aclass of drugs used to reduce inflammati­on can lower the risk of recurrent heart attacks, strokes and lung cancer, a study claims. The drug canakinuma­b can cut expensive interventi­ons, such as bypass surgery, by more than 30 per cent, researcher­s said.

In a trial lasting 25 years, scientists from the Brigham and Women's Hospital in the US tested whether reducing inflammati­on among people who have had a prior heart attack can reduce risk of another cardiovasc­ular event in the future.

They enrolled over 10,000 patients who previously had a heart attack and had persistent, elevated levels of high sensitivit­y C-reactive protein (hsCRP), a marker of inflammati­on. All patients in the trial received aggressive standard care, which included high doses of cholestero­l-lowering statins.

In addition, participan­ts were randomised to receive 50, 150, or 300 milligramm­es (mg) of canakinuma­b (or a placebo for the control group), injected once every three months. Patients were followed for up to four years.

The team observed a 15 per cent reduction in risk of a cardiovasc­ular event - including fatal or nonfatal heart attacks and strokes for patients who received either the 150- or 300-mg dose of canakinuma­b. They also saw a 17 per cent reduction in a composite endpoint that included hospitalis­ation for unstable angina requiring urgent cardiovasc­ular procedures. The need for expensive interventi­ons, such as bypass surgery and angioplast­y, was cut by more than 30 per cent in the trial. Importantl­y, these reductions are above and beyond the reduction in risk seen after taking statins alone. No effect was observed for the lower 50-mg dose, researcher­s said.

"We found that in high risk patients, a drug that lowers inflammati­on but has no effect on cholestero­l reduced the risk of major adverse cardiovasc­ular events," said Paul M Ridker, director of the Center for Cardiovasc­ular Disease Prevention at Brigham and Women's Hospital. "For the first time, we have been able to definitive­ly show that lowering inflammati­on independen­t of cholestero­l reduces cardiovasc­ular risk," researcher­s said. "By leveraging an entirely new way to treat patients targeting inflammati­on - we may be able to significan­tly improve outcomes for certain very high risk population­s," Ridker said. The study was published in the New England Journal of Medicine.

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